Post-introduction economic evaluation of pneumococcal conjugate vaccination in Ecuador, Honduras, and Paraguay
OBJECTIVE:A decision-analytic model was constructed to evaluate the economic impact of post-introduction pneumococcal conjugate vaccine (PCV) programs in Ecuador, Honduras, and Paraguay from the societal perspective. METHODS: Hypothetical birth cohorts were followed for a 20-year period in each coun...
Main Author: | |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English Spanish Portuguese |
Published: |
Pan American Health Organization
|
Subjects: | |
Online Access: | https://doaj.org/article/3732f6daf87e4e90b57764504e7611d9 |
id |
ftdoajarticles:oai:doaj.org/article:3732f6daf87e4e90b57764504e7611d9 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:3732f6daf87e4e90b57764504e7611d9 2023-05-15T15:12:26+02:00 Post-introduction economic evaluation of pneumococcal conjugate vaccination in Ecuador, Honduras, and Paraguay Dagna O. Constenla https://doaj.org/article/3732f6daf87e4e90b57764504e7611d9 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892015001000006&lng=en&tlng=en https://doaj.org/toc/1680-5348 1680-5348 https://doaj.org/article/3732f6daf87e4e90b57764504e7611d9 Revista Panamericana de Salud Pública, Vol 38, Iss 5, Pp 388-395 Streptococcus pneumoniae evaluación de costo-efectividad años de vida perdidos por incapacidad vacunas pneumocócicas economía Ecuador Honduras Paraguay Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article ftdoajarticles 2022-12-31T12:15:08Z OBJECTIVE:A decision-analytic model was constructed to evaluate the economic impact of post-introduction pneumococcal conjugate vaccine (PCV) programs in Ecuador, Honduras, and Paraguay from the societal perspective. METHODS: Hypothetical birth cohorts were followed for a 20-year period in each country. Estimates of disease burden, vaccine effectiveness, and health care costs were derived from primary and secondary data sources. Costs were expressed in 2014 US$. Sensitivity analyses were performed to assess the impact of model input uncertainties. RESULTS: Over the 20 years of vaccine program implementation, the health care costs per case ranged from US$ 764 854 to more than US$ 1 million. Vaccination prevented more than 50% of pneumococcal cases and deaths per country. At a cost of US$ 16 per dose, the cost per disability-adjusted life year (DALY) averted for the 10-valent PCV (PCV10) and the 13-valet PCV (PCV13) ranged from US$ 796 (Honduras) to US$ 1 340 (Ecuador) and from US$ 691 (Honduras) to US$ 1 166 (Ecuador) respectively. At a reduced price (US$ 7 per dose), the cost per DALY averted ranged from US$ 327 (Honduras) to US$ 528 (Ecuador) and from US$ 281 (Honduras) to US$ 456 (Ecuador) for PCV10 and PCV13 respectively. Several model parameters influenced the results of the analysis, including vaccine price, vaccine efficacy, disease incidence, and costs. CONCLUSIONS: The economic impact of post-introduction PCV needs to be assessed in a context of uncertainty regarding changing antibiotic resistance, herd and serotype replacement effects, differential vaccine prices, and government budget constraints. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Daly ENVELOPE(63.761,63.761,-67.513,-67.513) Valet ENVELOPE(151.050,151.050,61.917,61.917) |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Streptococcus pneumoniae evaluación de costo-efectividad años de vida perdidos por incapacidad vacunas pneumocócicas economía Ecuador Honduras Paraguay Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Streptococcus pneumoniae evaluación de costo-efectividad años de vida perdidos por incapacidad vacunas pneumocócicas economía Ecuador Honduras Paraguay Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Dagna O. Constenla Post-introduction economic evaluation of pneumococcal conjugate vaccination in Ecuador, Honduras, and Paraguay |
topic_facet |
Streptococcus pneumoniae evaluación de costo-efectividad años de vida perdidos por incapacidad vacunas pneumocócicas economía Ecuador Honduras Paraguay Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE:A decision-analytic model was constructed to evaluate the economic impact of post-introduction pneumococcal conjugate vaccine (PCV) programs in Ecuador, Honduras, and Paraguay from the societal perspective. METHODS: Hypothetical birth cohorts were followed for a 20-year period in each country. Estimates of disease burden, vaccine effectiveness, and health care costs were derived from primary and secondary data sources. Costs were expressed in 2014 US$. Sensitivity analyses were performed to assess the impact of model input uncertainties. RESULTS: Over the 20 years of vaccine program implementation, the health care costs per case ranged from US$ 764 854 to more than US$ 1 million. Vaccination prevented more than 50% of pneumococcal cases and deaths per country. At a cost of US$ 16 per dose, the cost per disability-adjusted life year (DALY) averted for the 10-valent PCV (PCV10) and the 13-valet PCV (PCV13) ranged from US$ 796 (Honduras) to US$ 1 340 (Ecuador) and from US$ 691 (Honduras) to US$ 1 166 (Ecuador) respectively. At a reduced price (US$ 7 per dose), the cost per DALY averted ranged from US$ 327 (Honduras) to US$ 528 (Ecuador) and from US$ 281 (Honduras) to US$ 456 (Ecuador) for PCV10 and PCV13 respectively. Several model parameters influenced the results of the analysis, including vaccine price, vaccine efficacy, disease incidence, and costs. CONCLUSIONS: The economic impact of post-introduction PCV needs to be assessed in a context of uncertainty regarding changing antibiotic resistance, herd and serotype replacement effects, differential vaccine prices, and government budget constraints. |
format |
Article in Journal/Newspaper |
author |
Dagna O. Constenla |
author_facet |
Dagna O. Constenla |
author_sort |
Dagna O. Constenla |
title |
Post-introduction economic evaluation of pneumococcal conjugate vaccination in Ecuador, Honduras, and Paraguay |
title_short |
Post-introduction economic evaluation of pneumococcal conjugate vaccination in Ecuador, Honduras, and Paraguay |
title_full |
Post-introduction economic evaluation of pneumococcal conjugate vaccination in Ecuador, Honduras, and Paraguay |
title_fullStr |
Post-introduction economic evaluation of pneumococcal conjugate vaccination in Ecuador, Honduras, and Paraguay |
title_full_unstemmed |
Post-introduction economic evaluation of pneumococcal conjugate vaccination in Ecuador, Honduras, and Paraguay |
title_sort |
post-introduction economic evaluation of pneumococcal conjugate vaccination in ecuador, honduras, and paraguay |
publisher |
Pan American Health Organization |
url |
https://doaj.org/article/3732f6daf87e4e90b57764504e7611d9 |
long_lat |
ENVELOPE(63.761,63.761,-67.513,-67.513) ENVELOPE(151.050,151.050,61.917,61.917) |
geographic |
Arctic Daly Valet |
geographic_facet |
Arctic Daly Valet |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 38, Iss 5, Pp 388-395 |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892015001000006&lng=en&tlng=en https://doaj.org/toc/1680-5348 1680-5348 https://doaj.org/article/3732f6daf87e4e90b57764504e7611d9 |
_version_ |
1766343113775775744 |